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Patient selection for heart transplant: balancing risk.
Mantha, Aditya; Lee, Ramon O; Wolfson, Aaron M.
  • Mantha A; Department of Medicine, Keck School of Medicine of the University of Southern California.
  • Lee RO; Department of Medicine, Keck School of Medicine of the University of Southern California.
  • Wolfson AM; Department of Medicine, Keck School of Medicine of the University of Southern California.
Curr Opin Organ Transplant ; 27(1): 36-44, 2022 02 01.
Article in English | MEDLINE | ID: covidwho-1821995
ABSTRACT
PURPOSE OF REVIEW Heart failure incidence continues to rise despite a relatively static number of available donor hearts. Selecting an appropriate heart transplant candidate requires evaluation of numerous factors to balance patient benefit while maximizing the utility of scarce donor hearts. Recent research has provided new insights into refining recipient risk assessment, providing additional tools to further define and balance risk when considering heart transplantation. RECENT

FINDINGS:

Recent publications have developed models to assist in risk stratifying potential heart transplant recipients based on cardiac and noncardiac factors. These studies provide additional tools to assist clinicians in balancing individual risk and benefit of heart transplantation in the context of a limited donor organ supply.

SUMMARY:

The primary goal of heart transplantation is to improve survival and maximize quality of life. To meet this goal, a careful assessment of patient-specific risks is essential. The optimal approach to patient selection relies on integrating recent prognostication models with a multifactorial assessment of established clinical characteristics, comorbidities and psychosocial factors.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Heart Transplantation / Heart Failure Type of study: Etiology study / Prognostic study / Risk factors Limits: Humans Language: English Journal: Curr Opin Organ Transplant Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Heart Transplantation / Heart Failure Type of study: Etiology study / Prognostic study / Risk factors Limits: Humans Language: English Journal: Curr Opin Organ Transplant Year: 2022 Document Type: Article